Healthcare Provider Details

I. General information

NPI: 1841815982
Provider Name (Legal Business Name): EMILY JOYCE O'KEEFFE NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY JOYCE MILLER-DAWSON NURSE PRACTITIONER

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 07/06/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 UNION BLVD STE 200
LAKEWOOD CO
80228-1833
US

IV. Provider business mailing address

255 UNION BLVD STE 200
LAKEWOOD CO
80228
US

V. Phone/Fax

Practice location:
  • Phone: 303-763-5111
  • Fax:
Mailing address:
  • Phone: 303-763-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0995569-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: